Abstract

Brain-derived neurotrophic factor (BDNF) facilitates neuronal growth and plasticity, and is crucial for learning and memory. Contactin-1 (CNTN1) is a member of the subfamily of neural immunoglobulin and is involved in the formation of axon connections in the developing nervous system. This cross-sectional study investigates whether BDNF and CNTN1 affect susceptibility to attention deficit/hyperactivity disorder (ADHD). A total of 136 drug-naïve patients with ADHD (108 boys and 28 girls) and 71 healthy controls (45 boys and 26 girls) were recruited. Blood samples were obtained to measure the plasma levels of BDNF and CNTN1 in each child. We found that BDNF levels in the ADHD boys exceeded those in the control boys, but BDNF levels in the ADHD girls were lower than those in the control girls. Boys who had higher BDNF levels performed worse on the Wechsler Intelligence Scale for Children—Fourth Edition, but girls who had higher BDNF levels made fewer omission errors in the Conners’ Continuous Performance Test. However, CNTN1 level did not differ significantly between patients and controls, and were not correlated to ADHD characteristics, regardless of gender. The findings suggest BDNF may influence sex-specific susceptibility to ADHD, but CNTN1 was not associated with ADHD pathophysiology.

Highlights

  • Attention deficit/hyperactivity disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity [1]

  • A recent meta-analysis has demonstrated that Brain-derived neurotrophic factor (BDNF) levels are significantly higher in males with ADHD than in male controls [14], but the same difference was not observed in girls

  • The results suggest that BDNF may be involved in sex-specific susceptibility to ADHD

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Summary

Introduction

Attention deficit/hyperactivity disorder (ADHD) is characterized by inattention, impulsivity, and hyperactivity [1]. Higher peripheral levels of BDNF have been linked to fewer behavioral problems and clinical symptoms in preschool children with neuro-developmental disorders [9]. Both animal models and human studies suggest that BDNF Val66Met genotype is associated with ADHD [10]. The findings about whether peripheral levels of BDNF can serve as reliable ADHD biomarkers were inconsistent among studies [12,13,14,15,16]. We supposed that the relationship between BDNF levels and ADHD characteristics may differ between boys and girls

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